I 

112TH CONGRESS 

1ST SESSION H. R. 1578 

To amend the Public Health Service Act to improve the health care system’s 

assessment and response to domestic violence, dating violence, sexual 

assault, and stalking, and for other purposes. 

IN THE HOUSE OF REPRESENTATIVES 

APRIL 15, 2011 

Ms. SLAUGHTER (for herself, Mrs. LOWEY, Ms. ROYBAL-ALLARD, Ms. 

MOORE, Ms. NORTON, Ms. SCHAKOWSKY, Ms. HANABUSA, Mr. HASTINGS

of Florida, Mr. HOLDEN, and Ms. DELAURO) introduced the following 

bill; which was referred to the Committee on Energy and Commerce 

A BILL 

To amend the Public Health Service Act to improve the 

health care system’s assessment and response to domestic violence, dating violence, sexual assault, and stalking, 

and for other purposes. 

1 Be it enacted by the Senate and House of Representa2 tives of the United States of America in Congress assembled, 

3 SECTION 1. SHORT TITLE; TABLE OF CONTENTS. 

4 (a) SHORT TITLE.—This Act may be cited as the 

5 ‘‘Violence Against Women Health Initiative Act of 2011’’. 

6 (b) TABLE OF CONTENTS.—The table of contents of 

7 this Act is as follows: 


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Sec. 1. Short title; table of contents. 

Sec. 2. Findings. 

Sec. 3. Purpose. 

TITLE I—COORDINATED PUBLIC HEALTH INITIATIVE TO END 

VIOLENCE AGAINST WOMEN 

Sec. 101. Grants to foster public health responses to intimate partner violence 

and sexual assault. 

Sec. 102. Training and education of health professionals. 

TITLE II—RESEARCH ON EFFECTIVE PUBLIC HEALTH 

APPROACHES TO END VIOLENCE AGAINST WOMEN 

Sec. 201. Research on effective interventions to end domestic violence, sexual 

assault, and stalking against women in the health care setting. 

1 SEC. 2. FINDINGS. 

2 The Congress finds the following: 

3 (1) Domestic violence and sexual violence are 

4 public health problems and among the most signifi5 cant social determinants of health for women and 

6 girls. 

7 (2) Nearly one in four women in the United 

8 States reports experiencing violence by a current or 

9 former spouse or boyfriend at some point in her life, 

10 and one in six women reported experiencing a com11 pleted sexual assault. 

12 (3) Violence and abuse can affect health in 

13 many ways from physical injuries sustained during 

14 violent episodes, trauma symptoms including depres15 sion and thoughts of suicide, and harmful health 

16 coping behaviors such as alcohol and substance 

17 abuse. 


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1 (4) Research published in the Journal of Wom2 en’s Health in 2007 found that women who are vic3 tims of violence have 17 percent more primary care 

4 doctor visits, 14 percent more specialist visits, and 

5 27 percent more prescription refills than non-abused 

6 women. 

7 (5) Women who have experienced violence and 

8 abuse are 80 percent more likely to have a stroke, 

9 70 percent more likely to have heart disease, and 60 

10 percent more likely to have asthma than non-abused 

11 women. 

12 (6) In addition to utilizing the health system at 

13 higher rates, victims are more likely to experience a 

14 wide range of reproductive health problems including 

15 unintended pregnancies, sexually transmitted dis16 ease/HIV transmission, miscarriages, and more. 

17 Abuse increases the likelihood of teen pregnancy; ad18 olescent girls in abusive relationships are 3.5 times 

19 more likely to become pregnant than their non20 abused peers. 

21 (7) The Centers for Disease Control and Pre22 vention (CDC) have also linked childhood exposure 

23 to violence with long-term, chronic health conditions 

24 including obesity, arthritis, stroke, and heart dis25 ease. 


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1 (8) The CDC conservatively estimates that inti2 mate partner rape, physical assault, and stalking 

3 costs the health system and employers $8.3 billion 

4 annually from direct injuries and services and lost 

5 productivity from work. 

6 (9) Most professional health organizations, in7 cluding the American Medical Association, American 

8 Nurses Association, American College of Obstetri9 cians and Gynecologists, American Psychological As10 sociation, American Academy of Pediatrics, and the 

11 Joint Commission on the Accreditation of Health 

12 Care Organizations, endorse routine assessment for 

13 domestic violence. 

14 (10) The health system provides an important 

15 entry point to reduce violence and abuse and can im16 prove the health status of women, but without train17 ing and support on how to assess and respond, pro18 viders are not routinely assessing and responding to 

19 abuse, missing an important opportunity to help vic20 tims and prevent more serious abuse. 

21 SEC. 3. PURPOSE. 

22 It is the purpose of this Act to develop a public health 

23 response to abuse by— 


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1 (1) strengthening the health care system’s as2 sessment of and response to domestic violence, dat3 ing violence, sexual assault, and stalking; 

4 (2) increasing the number of victims identified 

5 and assisted in health or public health settings; and 

6 (3) expanding research on effective interven7 tions in health settings. 

8 TITLE I—COORDINATED PUBLIC 

9 HEALTH INITIATIVE TO END 

10 VIOLENCE AGAINST WOMEN 

11 SEC. 101. GRANTS TO FOSTER PUBLIC HEALTH RESPONSES 

12 TO INTIMATE PARTNER VIOLENCE AND SEX13 UAL ASSAULT. 

14 Section 399P of the Public Health Service Act (42 

15 U.S.C. 280g–4) is amended— 

16 (1) in subsection (a)— 

17 (A) by amending paragraph (1) to read as 

18 follows: 

19 ‘‘(1) IN GENERAL.—The Secretary, acting 

20 through the Director of the Office on Women’s 

21 Health in the Office of the Secretary, and in con22 sultation with the Director of the Family Violence 

23 Prevention and Services Office, shall award grants 

24 to eligible State, tribal, territorial, or local entities to 

25 strengthen the response of State, tribal, territorial, 


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1 or local health care systems to domestic violence, 

2 dating violence, sexual assault, and stalking and pre3 vent and respond to physical and sexual violence 

4 across the lifespan.’’; 

5 (B) in paragraph (2), by amending sub6 paragraph (A) to read as follows: 

7 ‘‘(A) be— 

8 ‘‘(i) a State department (or other divi9 sion) of health, a State, tribal, or terri10 torial domestic violence or sexual assault 

11 coalition or victim services program, a 

12 State law enforcement task force, or any 

13 other nonprofit, nongovernmental State, 

14 tribal, or territorial entity with a history of 

15 effective work in the fields of domestic vio16 lence, dating violence, sexual assault, or 

17 stalking, and health care, including phys18 ical or mental health care; or 

19 ‘‘(ii) a local victim services program, a 

20 local department (or other division) of 

21 health, a local health clinic, hospital, or 

22 health system, or any other community23 based organization with a history of effec24 tive work in the field of domestic violence, 

25 dating violence, sexual assault, or stalking, 


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1 and health care, including physical or men2 tal health care;’’; and 

3 (C) in paragraph (3), by striking ‘‘2 

4 years’’ and by inserting ‘‘36 months’’; and 

5 (2) in subsection (b)— 

6 (A) by amending paragraph (1) to read as 

7 follows: 

8 ‘‘(1) IN GENERAL.—An entity shall use 

9 amounts received under a grant under this section to 

10 design or enhance and implement comprehensive 

11 strategies to improve the response of the health care 

12 system to domestic violence, dating violence, sexual 

13 assault, or stalking in clinical, public health, hos14 pital, managed care (including behavioral and men15 tal health), and other health settings.’’; 

16 (B) by amending paragraph (2) to read as 

17 follows: 

18 ‘‘(2) MANDATORY STRATEGIES.—Strategies im19 plemented under paragraph (1) shall include the fol20 lowing: 

21 ‘‘(A) The implementation, dissemination, 

22 and evaluation of policies and procedures to 

23 guide health professionals and public health 

24 staff in responding to domestic violence, dating 

25 violence, sexual assault, and stalking, including 


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1 strategies to ensure that health information is 

2 maintained in a manner that protects the pa3 tient’s privacy and safety and health informa4 tion technology is used to improve documenta5 tion, identification, assessment, treatment, and 

6 follow-up care. 

7 ‘‘(B) The development of on-site access to 

8 services to address the safety, medical, mental 

9 health, and economic needs of patients who are 

10 victims of domestic violence, dating violence, 

11 sexual assault, or stalking, either by increasing 

12 the capacity of existing health professionals and 

13 public health staff to address domestic violence, 

14 dating violence, sexual assault, and stalking, or 

15 by contracting with or hiring victim service pro16 viders to provide the services or to model other 

17 services appropriate to the geographic and cul18 tural needs of a site. 

19 ‘‘(C) The provision of training and fol20 lowup technical assistance to health profes21 sionals, public health staff, and allied health 

22 professionals to identify, assess, treat, and refer 

23 clients who are victims of domestic violence, 

24 dating violence, sexual assault, or stalking. 


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1 ‘‘(D) The development, replication, refine2 ment, and testing of model strategies in adoles3 cent health settings to prevent and respond to 

4 violence and abuse.’’; 

5 (C) in paragraph (3)— 

6 (i) by amending subparagraph (A) to 

7 read as follows: 

8 ‘‘(A) The development of training modules 

9 and policies that address domestic violence, dat10 ing violence, sexual assault, and stalking over 

11 the lifespan, including child abuse, childhood 

12 exposure to domestic and sexual violence, and 

13 elder abuse.’’; 

14 (ii) in subparagraph (B), by striking 

15 ‘‘and stalking prevention’’ and by inserting 

16 ‘‘, stalking prevention, and healthy rela17 tionships’’; 

18 (iii) by amending subparagraph (D) to 

19 read as follows: 

20 ‘‘(D) The inclusion of the health effects of 

21 lifetime exposure to violence and abuse as well 

22 as related behavioral risk factors in health pro23 fessional training schools including medical, 

24 dental, nursing, social work, and mental health 


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1 curricula, and allied health service training 

2 courses.’’; 

3 (iv) by amending subparagraph (E) to 

4 read as follows: 

5 ‘‘(E) The integration of knowledge of do6 mestic violence, dating violence, sexual assault, 

7 and stalking into health care accreditation and 

8 professional licensing examinations, such as 

9 medical, dental, social work, and nursing 

10 boards, and where appropriate, other allied 

11 health exams.’’; and 

12 (v) by adding at the end the following 

13 new subparagraph: 

14 ‘‘(F) The development, expansion, and im15 plementation of sexual assault forensic medical 

16 examination programs.’’; and 

17 (D) by adding at the end the following: 

18 ‘‘(4) BUILDING EVIDENCE OF MODEL PRO19 GRAMS.—Strategies implemented under paragraph 

20 (1) may include research and evaluation of programs 

21 funded under this section to build evidence of model 

22 programs to be disseminated. As a condition on re23 ceipt of a grant for such research and evaluation, an 

24 applicant shall agree to release any findings result25 ing from the research and evaluation to the general 


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1 public no later than 90 days after the findings are 

2 available. The Secretary shall facilitate the wide dis3 semination of such findings by means of multiple 

4 media, including the Internet.’’; and 

5 (3) by striking subsections (c) and (d) and in6 serting the following: 

7 ‘‘(c) PREFERENCE.—In selecting grant recipients 

8 under this section, the Secretary shall give preference to 

9 applicants based on the strength of their evaluation strate10 gies, with outcome-based evaluations prioritized. 

11 ‘‘(d) TECHNICAL ASSISTANCE.— 

12 ‘‘(1) IN GENERAL.—The Secretary may provide 

13 technical assistance with respect to the planning, de14 velopment, and operation of any program or service 

15 carried out pursuant to this section. The Secretary 

16 may provide such technical assistance directly or 

17 through grants or contracts. 

18 ‘‘(2) AVAILABILITY OF MATERIALS.—The Sec19 retary shall make materials on training, best prac20 tices, evaluation, and other subjects developed by 

21 grantees under this section publicly available to the 

22 extent feasible, including through the use of elec23 tronic media, replication of materials, and tailoring 

24 of materials to meet varying geographic and jurisdic25 tional needs. 


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1 ‘‘(e) REPORTING.—The Secretary shall publish a bi2 ennial report on— 

3 ‘‘(1) the distribution of funds under this sec4 tion; and 

5 ‘‘(2) the programs and activities supported by 

6 such funds. 

7 ‘‘(f) DEFINITIONS.—Except as inconsistent with this 

8 section, the definitions in section 40002 of the Violence 

9 Against Women Act of 1994 shall apply to this section. 

10 ‘‘(g) AUTHORIZATION OF APPROPRIATIONS.— 

11 ‘‘(1) IN GENERAL.—There is authorized to be 

12 appropriated to carry out this section $5,000,000 for 

13 each of fiscal years 2012 through 2016, to remain 

14 available until expended. 

15 ‘‘(2) ALLOCATION OF FUNDS.— 

16 ‘‘(A) ADMINISTRATIVE COSTS.—Of the 

17 funds made available to carry out this section 

18 for any fiscal year, the Secretary shall not use 

19 more than 2.5 percent for administration and 

20 monitoring of grants awarded under this sec21 tion. 

22 ‘‘(B) RESEARCH AND EVALUATION.—Of 

23 the funds made available to carry out this sec24 tion for any fiscal year, the Secretary shall not 

25 use more than 15 percent to award funds for 


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1 research and evaluation under subsection 

2 (b)(4).’’. 

3 SEC. 102. TRAINING AND EDUCATION OF HEALTH PROFES4 SIONALS. 

5 Section 758 of the Public Health Service Act (42 

6 U.S.C. 294h) is amended to read as follows: 

7 ‘‘SEC. 758. INTERDISCIPLINARY TRAINING AND EDUCATION 

8 ON DOMESTIC VIOLENCE, SEXUAL ASSAULT, 

9 AND OTHER TYPES OF VIOLENCE AND ABUSE. 

10 ‘‘(a) GRANTS.—The Secretary, acting through the 

11 Director of the Office on Women’s Health in the Office 

12 of the Secretary, and in consultation with the Adminis13 trator of the Health Resources and Services Administra14 tion and the Director of the Family Violence Prevention 

15 and Services Office, shall award grants to eligible entities 

16 to develop interdisciplinary training for health profes17 sionals, public health staff, and allied health professionals, 

18 and education programs that provide undergraduate, 

19 graduate, or postgraduate medical, psychology, and nurs20 ing (including advanced practice nursing) students, and 

21 current health professionals, with an understanding of, 

22 and clinical skills pertinent to, domestic violence, dating 

23 violence, sexual assault, and stalking across the lifespan. 

24 ‘‘(b) ELIGIBILITY.— 


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1 ‘‘(1) IN GENERAL.—To be eligible to receive a 

2 grant under this section, an entity shall be— 

3 ‘‘(A) an accredited school of allopathic or 

4 osteopathic medicine, psychology, nursing, so5 cial work, or allied health; 

6 ‘‘(B) a health care provider membership or 

7 professional organization, or a health care sys8 tem; 

9 ‘‘(C) a nonprofit organization with a his10 tory of effective work in the field of training 

11 health professionals with an understanding of, 

12 and clinical skills pertinent to, domestic vio13 lence, dating violence, sexual assault, or stalk14 ing, and lifetime exposure to violence and 

15 abuse; or 

16 ‘‘(D) a State, tribal, territorial, or local en17 tity. 

18 ‘‘(2) ADDITIONAL REQUIREMENTS.—To be eli19 gible to receive a grant under this section, an entity 

20 shall prepare and submit an application to the Sec21 retary including at a minimum— 

22 ‘‘(A) strategies for the dissemination and 

23 sharing of curricula and other educational ma24 terials developed under the grant to other inter25 ested medical, psychology, social work, and 


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1 nursing schools and national resource reposi2 tories for materials on domestic violence, dating 

3 violence, sexual assault, and stalking; and 

4 ‘‘(B) a plan for consulting with domestic 

5 violence or sexual assault coalitions, or national 

6 nonprofit organizations or racial and ethnic mi7 nority-specific organizations with demonstrated 

8 experience and expertise in domestic violence, 

9 dating violence, sexual assault, or stalking. 

10 ‘‘(3) PREFERENCE.—In selecting grant recipi11 ents under this section, the Secretary shall give pref12 erence to applicants based on the strength of their 

13 evaluation strategies, with outcome-based evalua14 tions prioritized. 

15 ‘‘(c) USE OF FUNDS.— 

16 ‘‘(1) REQUIRED USES.—Amounts provided 

17 under a grant under this section shall be used— 

18 ‘‘(A) to plan and develop— 

19 ‘‘(i) interdisciplinary health training 

20 and education for medical, psychology, so21 cial work, nursing, and other health profes22 sions students, interns, residents, fellows, 

23 or current health care providers to identify 

24 and provide health care services (including 

25 mental or behavioral health care services 


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1 and referrals to appropriate community 

2 services) to individuals who are victims of 

3 domestic violence, dating violence, sexual 

4 assault, or stalking; and 

5 ‘‘(ii) culturally and linguistically com6 petent clinical components for integration 

7 into approved internship, residency, and 

8 fellowship training or continuing medical 

9 education training that address physical 

10 and mental health issues related to domes11 tic violence, dating violence, sexual assault, 

12 and stalking, along with other forms of vi13 olence as appropriate, and include the pri14 macy of victim safety and confidentiality; 

15 or 

16 ‘‘(B) in the case of a grant recipient de17 scribed in subsection (b)(1)(B), to— 

18 ‘‘(i) develop and provide guidance to 

19 members, constituents, institutions, and 

20 stakeholders to increase assessment and 

21 referral to services; and 

22 ‘‘(ii) facilitate cross-training and pro23 vide collaborative opportunities between 

24 partners and public health agencies. 


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1 ‘‘(2) PERMISSIVE USES.—Amounts provided 

2 under a grant under this section may be used to— 

3 ‘‘(A) offer community-based training op4 portunities in rural areas, which may include 

5 the use of distance learning networks and other 

6 available technologies needed to reach isolated 

7 rural areas to train health professions students, 

8 interns, residents, and fellows on domestic vio9 lence, dating violence, sexual assault, stalking, 

10 and other forms of violence and abuse; 

11 ‘‘(B) provide stipends to students who are 

12 underrepresented in the health professions as 

13 necessary to promote and enable their partici14 pation in offsite training experiences designed 

15 to develop health care clinical skills related to 

16 domestic violence, dating violence, sexual as17 sault, and stalking; 

18 ‘‘(C) provide clinical research fellowships to 

19 explore the relationship between victimization or 

20 exposure to abuse, and physical and mental 

21 health status; or 

22 ‘‘(D) evaluate innovative curricula, training 

23 models, or programs. 

24 ‘‘(3) BUILDING EVIDENCE OF MODEL PRO25 GRAMS.—Amounts provided under a grant under 


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1 this section may be used to conduct research and 

2 evaluation of programs funded under this section to 

3 build evidence of model programs to be dissemi4 nated. As a condition on receipt of a grant for such 

5 research and evaluation, an applicant shall agree to 

6 release any findings resulting from the research and 

7 evaluation to the general public no later than 90 

8 days after the findings are available. The Secretary 

9 shall facilitate the wide dissemination of such find10 ings by means of multiple media, including the 

11 Internet. 

12 ‘‘(4) REQUIREMENTS.— 

13 ‘‘(A) CONFIDENTIALITY AND SAFETY.— 

14 Grantees under this section shall ensure that all 

15 educational programs developed with grant 

16 funds address issues of confidentiality and pa17 tient safety, and that faculty and staff associ18 ated with delivering educational components are 

19 fully trained in procedures that will protect the 

20 immediate and ongoing security of the patients, 

21 patient records, and staff. Organizations with 

22 demonstrated expertise in the confidentiality 

23 and safety needs of victims of domestic violence, 

24 dating violence, sexual assault, and stalking 

25 shall be consulted on the development and adeVerDate Mar 15 2010 00:51 Apr 20, 2011 Jkt 099200 PO 00000 Frm 00018 Fmt 6652 Sfmt 6201 E:\BILLS\H1578.IH H1578

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1 quacy of confidentially and security procedures, 

2 and shall be fairly compensated by grantees for 

3 their services. 

4 ‘‘(B) RURAL PROGRAMS.—Rural training 

5 programs carried out under paragraph (2)(A) 

6 shall reflect adjustments in protocols and proce7 dures or referrals that may be needed to protect 

8 the confidentiality and safety of patients who 

9 live in small or isolated communities and who 

10 are currently or have previously experienced vio11 lence or abuse. 

12 ‘‘(C) CHILD AND ELDER ABUSE.—Issues 

13 related to child and elder abuse may be ad14 dressed as part of a comprehensive pro15 grammatic approach implemented under a 

16 grant under this section. 

17 ‘‘(d) TECHNICAL ASSISTANCE.— 

18 ‘‘(1) IN GENERAL.—The Secretary may provide 

19 technical assistance with respect to the planning, de20 velopment, and operation of any program or service 

21 carried out pursuant to this section. The Secretary 

22 may provide such technical assistance directly or 

23 through grants or contracts. 

24 ‘‘(2) AVAILABILITY OF MATERIALS.—The Sec25 retary shall make materials on training, best pracVerDate Mar 15 2010 00:51 Apr 20, 2011 Jkt 099200 PO 00000 Frm 00019 Fmt 6652 Sfmt 6201 E:\BILLS\H1578.IH H1578

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1 tices, evaluation and other subjects developed by 

2 grantees under this section publicly available to the 

3 extent feasible, including through the use of elec4 tronic media, replication of materials, and tailoring 

5 of materials to meet varying geographic and jurisdic6 tional needs. 

7 ‘‘(e) REPORTING.—The Secretary shall publish a bi8 ennial report on— 

9 ‘‘(1) the distribution of funds under this sec10 tion; and 

11 ‘‘(2) the programs and activities supported by 

12 such funds. 

13 ‘‘(f) DEFINITIONS.—Except as inconsistent with this 

14 section, the definitions in section 40002 of the Violence 

15 Against Women Act of 1994 shall apply to this section. 

16 ‘‘(g) AUTHORIZATION OF APPROPRIATIONS.— 

17 ‘‘(1) IN GENERAL.—There is authorized to be 

18 appropriated to carry out this section $3,000,000 for 

19 each of fiscal years 2012 through 2016, to remain 

20 available until expended. 

21 ‘‘(2) ALLOCATION OF FUNDS.— 

22 ‘‘(A) ADMINISTRATIVE COSTS.—Of the 

23 funds made available to carry out this section 

24 for any fiscal year, the Secretary shall not use 

25 more than 2.5 percent for administration and 


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1 monitoring of grants awarded under this sec2 tion. 

3 ‘‘(B) RESEARCH AND EVALUATION.—Of 

4 the funds made available to carry out this sec5 tion for any fiscal year, the Secretary shall not 

6 use more than 15 percent to award funds for 

7 research and evaluation under subsection 

8 (c)(3).’’. 

9 TITLE II—RESEARCH ON EFFEC10 TIVE PUBLIC HEALTH AP11 PROACHES TO END VIOLENCE 

12 AGAINST WOMEN 

13 SEC. 201. RESEARCH ON EFFECTIVE INTERVENTIONS TO 

14 END DOMESTIC VIOLENCE, SEXUAL ASSAULT, 

15 AND STALKING AGAINST WOMEN IN THE 

16 HEALTH CARE SETTING. 

17 Section 40297 of the Violence Against Women Act 

18 of 1994 (42 U.S.C. 13973) is amended— 

19 (1) in the section heading, by inserting after 

20 ‘‘EFFECTIVE INTERVENTIONS’’ the following: ‘‘TO

21 END DOMESTIC VIOLENCE, SEXUAL ASSAULT, 

22 AND STALKING AGAINST WOMEN’’; 

23 (2) in subsection (b)(1)— 

24 (A) in subparagraph (B)— 


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1 (i) by striking ‘‘and’’ after the semi2 colon; and 

3 (ii) by inserting before the semicolon 

4 ‘‘, including evaluating programs using evi5 dence-based process and outcome indica6 tors’’; 

7 (B) in subparagraph (C), by striking the 

8 period at the end and inserting a semicolon; 

9 and 

10 (C) by adding at the end the following new 

11 subparagraphs: 

12 ‘‘(D) research on effective health care 

13 interventions to domestic and sexual violence 

14 and sexual coercion, including evaluating pro15 grams using evidence-based process and out16 come indicators; or 

17 ‘‘(E) research into factors that increase re18 siliency for children exposed to dating violence, 

19 sexual assault, stalking, or individuals who have 

20 a lifetime exposure to violence and abuse.’’; 

21 (3) in subsection (b)(2)(B)— 

22 (A) by striking ‘‘within primary care and 

23 emergency health care settings’’ and inserting 

24 ‘‘within community health centers and primary 


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1 care, emergency health care, or adolescent 

2 health settings’’; and 

3 (B) by striking ‘‘domestic violence’’ and in4 serting ‘‘dating violence, sexual assault, or 

5 stalking’’; and 

6 (4) in subsection (d)— 

7 (A) by striking ‘‘2007 through 2011’’ and 

8 inserting ‘‘2012 through 2016’’; and 

9 (B) by inserting ‘‘, to remain available 

10 until expended’’ before the period. 

Æ 


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